Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03077 | Date 18/01/2019 |
| Token No | SM/24-25/44011 18/03/2025 | Serial | 020 Last Visit: 29/11/2025 |
| Patient Name | Mr. SAMIR DAS | Contact No | 8902479437 |
| Address | 3/B CHATRA GHOSH PARA 2ND LANE SERAMPORE | Age | 54 Years,10 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/93 mmHg | Weight | 70.1 KG |
| Pulse Rate | / min | Height | 166 cm BMI: 25.439106 |
| Diagnosis | |||